DANNIE NAINGGOLAN

LOS ANGELES, CA
NPI1174388375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
DANNIE NAINGGOLAN
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
Mailing Address
DANNIE NAINGGOLAN
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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